PBMA MusicEd via Skype

Name:*

Email:*

Skype ID:*

Contact Number:*

ID Number/Passport Number:*

Physical Address (Including Residence Number,Street and Suburb):*

City:*

Country:*

Piano:
Classical Contemporary

Guitar:
Classical Flamenco Rock Metal Pop

Singing:
Classical Pop Musical Theatre

Woodwinds:
Saxophone Flute Recorder

Music Theory:
Grade 1-3 Grade 4-5 Grade 6-7 Grade 8

Level:*

Beginner Intermediate Advanced

Pupil's Age:*

The minimum age we accept PBMA MusicEd via Skype Clients, is 15 years old. I hereby confirm that I am 15 years old or older.

All pupils must be in possession of their own instruments and/or music books in order to commence with lesson modules based on that particular instrument.*

Lesson Times:

On which days and time slots do you prefer your lessons:

Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays

During:
08H00 - 13H00 CAT 13H00 - 17H00 CAT 17H00 - 20H00 CAT

Which of the following options brought us to your attention? Please select an option:
Music Store Facebook Google Ad Friend Google Search Twitter Youtube Other

Costs:

€17.50/30 min or £15.00/30mins or $20.00/30mins or ZAR 150/30mins

I have read, and understood the terms and conditions.

Contact Details

Physical Address

Music Module - Select the Music Module you wish to receive instruction in: